Recurrence of sickness absence due to common mental disorders
Recurrence of sickness absence due to common mental disorders
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DOI：
10.1007/s00420-010-0540-4
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发表时间：
2011-02-01
影响因子：
3
通讯作者：
Groothoff, Johan W.
中科院分区：
文献类型：
--
作者：
Koopmans, Petra C.;Bueltmann, Ute;Groothoff, Johan W.
常见精神障碍（CMDs）是导致工作残疾的一个重要原因。虽然已知CMDs具有高复发率，但对CMDs引起的缺勤复发知之甚少。本研究探讨疾病缺勤的复发风险。在荷兰邮政或电信公司工作的9,904名因疾病缺勤的员工进行了为期7年的研究。复发定义为在完全重返工作岗位至少28天后，至少有一次新的疾病缺勤发作。计算CMDs缺勤的复发密度（RD）每1000人年。在9,904名因CMDs首次缺勤的员工中，1,925名（19%）复发，90%的复发发生在3年内。疾病缺勤率为每1000人年84.5人（95% CI = 80.7-88.3）。女性和男性因慢性疾病而缺勤的比例相似。在男性中，抑郁症状与由慢性疾病引起的疾病缺勤的复发率相关，而不是困扰症状和适应障碍。在女性中，没有发现诊断类别的差异。有过慢性病缺勤经历的员工再次患慢性病缺勤的风险增加。建议在重返工作岗位后的3年内进行复发预防咨询。
Common mental disorders (CMDs) are an important cause of work disability. Although CMDs are known to have high recurrence rates, little is known about the recurrence of sickness absence due to CMDs. This study examines the recurrence risk of sickness absence due to CMDs.A cohort of 9,904 employees with a sickness absence due to CMDs, working in the Dutch Post or Telecommunication company, was studied over a 7-year period. Recurrence was defined as the start of at least one new episode of sickness absence with CMDs after complete return to work for at least 28 days. The recurrence density (RD) of sickness absence with CMDs was calculated per 1,000 person-years.Of the 9,904 employees with a first absence due to CMDs 1,925 (19%) had a recurrence, 90% of recurrences occurred within 3 years. The RD of sickness absence due to CMDs was 84.5 employees per 1,000 person-years (95% CI = 80.7-88.3). The RD of sickness absence due to CMDs was similar in women and in men. In men, depressive symptoms were related to higher recurrence of sickness absence due to CMDs than distress symptoms and adjustment disorders. In women, no difference by diagnostic category was found.Employees with a previous episode of sickness absence with CMDs are at increased risk of recurrent sickness absence with CMDs. Relapse prevention consultations are recommended for a period of 3 years after return to work.